Monday, May 27, 2013

Round 11 – Chemotherapy Cycle 2 Day 4

Monday May 27th, 2013
 
I guess I’d like to share with you more about what this chemotherapy is. Some of you have gone through a form of it. Others know someone that has gone through it and the rest of you know little to nothing about it.

So what is it?

For me and my treatment plan they are giving me the following chemo drugs dosages:
Etoposide 101mg
Mixed in with 9% saline 500ml

You can read the links to learn more about them because my uneducated explanation won’t do anyone any good. 

My Dr. has told me that I’m on heavy dosages and they want to bump them up, but because some of my counts were low they couldn’t during this cycle.

The effects of these drugs can really help explain the fight within the fight, and not just for me, but for anyone that has to go through this.

One of the first side effects that I went through was losing my hair. One of the others is a slight numbing and tingling feeling in my fingers and I get it in my toes. That is cause by the Vincristine. What it is doing is causing nerve damage. The Dr.’s concern is when it becomes painful and I start to have some clumsiness with my hands or atrophy happening so they can adjust the dosage and plan for a treatment after chemo if it doesn’t resolve itself on its own. Some of these treatments for the side effects might take a few weeks, others months and some I may have to live with for the rest of my life. That’s just the cost of living.

Another side effect that I’m concerned about is heart damage caused by the Doxorubicin. I’ll be getting Echo CT’s that will determine the effects that the drug has had on my heart if any at all.

My Neutrophil question was about learning online that its level could be low because of a low B12. I stopped taking my B12 sups when my lymphnode wasn’t getting any better and didn’t know what the problem was. The Dr. told me that it’s the chemo drugs that are stripping me clean and I didn’t have to worry about taking a B12 sup cause it wouldn’t make a difference and no B deficiencies showed up in my bloods anyway. So for my next cycle I’m hoping that my levels are where they need to be so the Dr.’s can give me the dosages they want. My Neulasta shot will boost my counts back up. Me keeping myself healthy, viral and infection free will help a great deal.

Part of the Dr.s plan is damage control from the side effects of these drugs. I have to be just as mindful as they are because I’m the one that’s needs to provide them feedback as I go along. I’m also the one that has to deal with the side effects until they’re resolved or live with them for the rest of my life.

Another thing I wanted to share with you was the survival ratio. It’s 2-5 years in remission. What that means is my treatments will get rid of the cancer so it’s remised. I continue to see the doctor and have tests done. Over the course of 1 year, 2 years my survival ratio increases. After 3 years, 4 years and 5 years of remission they consider the cancer is gone. If the cancer comes back during the next 2-5 years I go back in for treatment again. In that event my overall health will dictate what treatment plans are available to me.

That’s not even the radiation! I haven’t gotten that far yet. That’s a whole nother world.

My doctors agree that I’m a tough kid, but not because I say or I talk a good game, but because of my body’s response to the treatment. I’m very strong and they are telling me that I can handle more. So I feel like the racecar driver that’s itchin’ to punch it around the track.

I’m not scared by any of this cause I’m so pissed off that this disease dared come into my life after I turned it around. Not that I would want this disease anyway. I could fill the world with guys that can beat the crap out of me. I could fill the world with people that are and will always be smarter than I will ever be. I can fill the world with people that have and will accomplish more in their lives that I ever will. But you won’t find another living breathing thing in this world that will break me down!!!

Sometimes I feel like this is penance for all the wrongs I’ve done in my life, the people that I’ve hurt, they know who they are. If it is I’m man enough to serve my penance. In a religious perspective I’d be correct. With any luck I’ll gain closure from those I’ve hurt. 

These things just happen. Some we have control over and others we don’t. I’m not going to focus on the whys or the why me’s. Sometimes I can't escape those thoughts. There isn’t anything I can do about it except wage war and fight to win, period! I’ll work with my team of doctors on damage control and make the very best out of the outcome.

So, how about a good laugh at my expense after all that, huh?

Today France and I were sitting down ready to eat lunch in my room and being most considerate I got up to blast some gas in the bathroom instead of blasting away at the table. So, I get up, go to the bathroom, but I was so gassy that I blasted a live round in my pants. While I struggled to get my jonnie off I blasted a couple of more live rounds on the floor while I fought to make it to the bowl. 

I look at it this way were all going to crap ourselves twice in our lives. Once because we don’t know any better and another because we can’t control ourselves anymore. So who cares about the in-betweens? There is no shame in this game.

Round 10 – Chemotherapy Cycle 2 Day 3


Sunday May 26th, 2013

Today has been a great day. My spirit is through the roof, I’ve still got pep in my step, I’ve had some clarity to study and I was even able to have the chemo ml increased to 24.9 ml per hour. That changes my run time from 24 hours to 22 hours per chemo bag.

France was with me most of the day which is awesome! She’s strong enough to trust that I can handle things on my end while she’s at work or running her business, which is by the way bostonhealthnuts.com.

I was told that because the ml per hour was increased that I may be able to go home on Tuesday evening, which of course depends on if an IV tech is available to remove the PICC line in my arm. If not, I wait until Wednesday morning, no big deal.

Team MGH is Awesome!!! The level of care here should be a role model for other cancer treatment centers!

I have some questions for my doctor and I should see him tomorrow and I can tell you the answers about the Neutrophil and some of the chemo drugs that they are using. So I guess you’ll learn as I do as we go along.

Well sorry that there isn’t much going on today so I’m going to do some more studying tonight and give you guys an update tomorrow.